| NPI | 1235353053 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: NY 250677) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 250677) |
| 2083P0901X Preventive Medicine, Public Health & General Preventive Medicine (Licence: NY 250677) | |
| Enumeration Date | 2007-04-12 |
| Last Update Date | 2021-10-08 |